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Individual
RAJARAGHAVAN GOVINDARAJALU
Active
Individual
RAJARAGHAVAN GOVINDARAJALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501007690
BOARD OF PHYSICAL THERAPY
MI
01
—
G153730730341
DRIVER LICENSE
MI
Enumeration date
02/26/2018
Last updated
02/26/2018
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